League Coordinator Registration - Western Canada

Enactus Canada Regional Exposition

First Name:*
Last Name:*
Which category best describes your reason for attending the Enactus Canada Regional Exposition?
If other, please explain:
What is your title or role at the company or school in which you work or attend? (i.e. student, parent, CEO, etc)*
Which company or school are you from?*
Other Company/School:*
Phone Number:*
Phone Number Ext.:
Email:*
Emergency Contact Name:*
Emergency Contact Phone Number:*
Emergency Contact Phone Number Ext.:
Do you have any Accessibility Requirements?*
- Yes
- No
If yes, please explain:
I am not only an observer at this event, I am also the following (check all that apply):
- Enactus Alumni
- Enactus Team Advisor
If you are an Enactus Alumni or Enactus Team Advisor, please note below which Enactus teams you are associated with:
Email Communication
- I wish to receive email updates from Enactus Canada
Waiver of Participation*
- I have read and agree to the terms of the Waiver of Participation